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  1. • If you have applied, or intend to apply, for IRMAA reimbursement for 2018. (The additional differential payment will be issued to you automatically - separate from your IRMAA payment). Please note: Penalties relating to late Medicare Part B enrollment are not reimbursed.

  2. benefits office if they have questions about this form. Retired NYCTA civilians, with the exception of NYCTA Police Officers, must contact the Transit Authority. Furthermore, the Medicare Part B/IRMMA reimbursement by the City, pursuant to Section 12-126 of the New York City Administrative Code, of the Medicare Part B

  3. Copy of Form SSA-1099 OR proof of direct payments and billing statements for all premiums paid directly to CMS Dependent - include all of the following for each year you are applying for IRMAA reimbursement: Copy of Social Security Administration (SSA) notice stating your Medicare Part B premium included an income-related monthly adjustment amount.

  4. IRMAA 2022 reimbursement. June 15, 2023. New York Teacher. Medicare B 2022 IRMAA reimbursements are scheduled to be issued by October 2023. Those retirees who are eligible for the IRMAA reimbursement must submit the IRMAA 2022 application along with the required supporting documents. Not all retirees are eligible.

  5. • If you have applied, or intend to apply, for IRMAA reimbursement for 2019. (The additional differential payment will be issued to you automatically - separate from your IRMAA payment in October 2020.) Please note: Penalties relating to late Medicare Part B enrollment are not reimbursed.

  6. • Who is providing it: The NYC Medicare Advantage Plus Plan will be provided by an alliance between Empire BlueCross BlueShield and EmblemHealth. Office of Labor Relations EMPLOYEE BENEFITS PROGRAM 22 Cortlandt Street, 12th Floor, New York, NY 10007. nyc.gov/olr . Commissioner . Steven H. Banks. First Deputy Commissioner . General Counsel ...

  7. Dec 27, 2023 · Customer Service Center Call Center Hours Monday-Friday, 8 am – 5 pm (347) 643-3000 Within NYC (877) 669-2377 Toll-Free (347) 643-3501 TTY. The Walk-in Center at 340 Jay Street in downtown Brooklyn is open Monday – Friday, 8 am – 5 pm, for drop off of fully completed forms, answers to quick inquiries, and appointments.

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